Stepping Stones Triple P and Acceptance and Commitment Therapy for Parents of Children with Cerebral Palsy: Trial Protocol

2013 ◽  
Vol 14 (2) ◽  
pp. 270-280 ◽  
Author(s):  
Koa Whittingham ◽  
Matthew Sanders ◽  
Lynne McKinlay ◽  
Roslyn N. Boyd
Keyword(s):  
Cerebral Palsy ◽  
Acceptance And Commitment Therapy ◽  
Parenting Practices ◽  
Parenting Intervention ◽  
Triple P ◽  
Wait List ◽  
Stepping Stones ◽  
Acceptance And Commitment ◽  
Children With Cerebral Palsy ◽  
Stepping Stones Triple P

This project aims to optimise outcomes for children with cerebral palsy (CP) and their families by testing the efficacy of two complementary interventions novel to the CP population: (1) parenting intervention (Stepping Stones Triple P, SSTP); and (2) parental stress management (Acceptance and Commitment Therapy, ACT) tailored for parents of children with CP. The efficacy of SSTP and the additional effects of ACT will be tested in a wait-list randomised controlled trial, with parents of children with CP (N= 110) randomised into three groups; SSTP, SSTP + ACT and wait-list control. Intervention delivery will combine group sessions with phone consultations. Outcomes will be assessed post-intervention with retention of effect examined at 6-month follow-up. Child outcomes will include: externalising behaviour (primary child outcome), functional performance, parent-reported child quality of life; and parent outcomes will include: dysfunctional parenting (primary parent outcome), parental confidence in performing disability-related parenting practices, degree of problems in performing disability-related parenting practices, parental adjustment, psychological flexibility and parental attitude to child emotions. The theoretical background, study design and study procedures are discussed. The validation of a parenting intervention and a parenting stress intervention for parents of children with CP is crucial to better support parents of children with CP in their parenting role and in providing evidence-based intervention for behavioural and emotional problems in children with CP.

A qualitative study of parents’ and facilitators’ experiences of Group Stepping Stones Triple P for parents of children with disabilities

2018 ◽  
Vol 24 (4) ◽  
pp. 694-711
Author(s):  
Ailbhe Ruane ◽  
Alan Carr ◽  
Valerie Moffat
Keyword(s):  
Qualitative Study ◽  
Children With Disabilities ◽  
Controlled Trial ◽  
Self Regulation ◽  
Structured Interview ◽  
Attrition Rate ◽  
Triple P ◽  
Stepping Stones ◽  
Vulnerable Families ◽  
Stepping Stones Triple P

In this qualitative study, we evaluated parents’ and facilitators’ experiences of the Group Stepping Stones Triple P (GSSTP) programme for parents of children with disabilities. The study was embedded in a randomized controlled trial (RCT) of GSSTP and carried out in the Irish public health service. Eight parents and three psychologists participated in the study. We used a semi-structured interview schedule to collect data and conducted a thematic content analysis of interview transcripts to identify particularly useful and less helpful aspects of the programme and ways that its future delivery may be improved. We conducted separate analyses on parent and psychologist data. The main findings were that parents considered the GSSTP to have helped them develop better self-regulation and behaviour management skills, which contributed to improved family relations. Negative aspects of the programme included the use of dated videos, the volume of programme content, the attrition rate and the shortcomings of the programme in meeting the complex needs of vulnerable families. Improvement suggestions included increasing flexibility of manualised content, providing follow-up support to vulnerable parents, incentivizing parents to attend and updating videos.

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